The Ashdale Group Inc. // Ashdale Questionnaire


	Tell us about yourself by describing your challenges and objectives.

Your Name:
Your Title:
Telephone:
Fax:
Email:

Please use a checkmark to indicate your current primary objective
Start Up	Merger	Divestiture
Buy Out	Liquidation	Recapitalization
Expansion

Business Name:
Business Address:
Tax ID#:
Business Phone:
Business Type:
What main objectives would you like to accomplish?

What challenges would you like to address?

What additional resources do you require?

Capital:
Personnel:
Equipment:
Expertise:
Other:
What products and or services do you provide?

If you could change one thing, what would it be?

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The Ashdale Group, Inc. George R. Boraiko - President 2605 Herndon Street, Valrico, FL 33596 Phone: (813) 651-1199 Fax: (813) 651-0044
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